Poudre Valley Medical Group, Llc | |
1190 Us Highway 287 Broomfield CO 80020-7021 | |
(000) 000-0000 | |
Not Available |
Full Name | Poudre Valley Medical Group, Llc |
---|---|
Speciality | Family Medicine |
Location | 1190 Us Highway 287, Broomfield, Colorado |
Authorized Official Name and Position | Jana Conroy (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 9706244443 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Poudre Valley Medical Group, Llc 2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 Ph: () - | Poudre Valley Medical Group, Llc 1190 Us Highway 287 Broomfield CO 80020-7021 Ph: (000) 000-0000 |
NPI Number | 1174248793 |
---|---|
Provider Enumeration Date | 10/06/2022 |
Last Update Date | 10/06/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174248793 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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